| Emerito F. Ureta, M.d.ltd | |
|
428 North Caldwell Street Suite 20 Staunton IL 62088-1423 | |
| (618) 635-5511 | |
| (618) 635-5514 |
| Full Name | Emerito F. Ureta, M.d.ltd |
|---|---|
| Speciality | Surgery |
| Location | 428 North Caldwell Street, Staunton, Illinois |
| Authorized Official Name and Position | Emerito F Ureta (PRESIDENT) |
| Authorized Official Contact | 6186355511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerito F. Ureta, M.d.ltd 428 North Caldwell Street Suite 20 Staunton IL 62088-1423 Ph: (618) 635-5511 | Emerito F. Ureta, M.d.ltd 428 North Caldwell Street Suite 20 Staunton IL 62088-1423 Ph: (618) 635-5511 |
| NPI Number | 1760782544 |
|---|---|
| Provider Enumeration Date | 10/27/2010 |
| Last Update Date | 10/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760782544 | NPI | - | NPPES |
| 036045117 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036045117 (Illinois) | Secondary |
| 208600000X | Surgery | 036045117 (Illinois) | Primary |
Community Hospital Of Staunton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 N Wood St, Staunton, IL 62088 Phone: 618-635-4231 Fax: 618-635-4216 | |
Staunton Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 444 N Edwardsville St, Staunton, IL 62088 Phone: 618-635-3800 Fax: 618-635-3952 |